EMS Doing Away With AHA?

What if EMS decided to no longer use AHA certification for CPR and ACLS? Let’s say they decided to use AHA as a base but implemented their own training and testing based on current research and what they see to be working.

Well there are agencies out there who are trying this.

Check out this weeks episode for the hosts opinion on this and more. Is it a patient care thing, a financial thing or something else?

Here is link to Jim Op-ed article at EMS World

Check out Josh and his one of a kind Oxygen Wrench here.

Download Dave’s flyer and more info on his upcoming 12 lead course.

EMS, CPR, DNR and Hypothermia Treatment

EMS With all the recent talk about the Glenwood Gardens, we couldn’t let the topic go without discussing that old word “perception” again. Do we choose who lives and dies in EMS or are we just following guidelines, made up my people who are out of touch with reality, research and medicine? Policies enforced with a legal eye and no regard for the patient and their outcomes.

There is a lot that goes with this story and others like it. Phrases like DNR, duty to act and more get thrown around. But there is an issue with this call that goes beyond CPR, deciding who gets it, when they get or IF they get.

There is a reality that haunts EMS daily and if you have listened to the call, it’s there, right below the surface.

Take a listen to this episode as we discuss the CPR, DNR, CCRC’s and the bigger underlying issue that we as EMS professionals face everyday with agencies like them. We also discussed hypothermia treatment in cardiac arrest patients before ROSC.


Thanks to John Broyles and also to “Dads of Great Students” and Tom Bouthillet for joining us in the chat room.

We had Tim Noonan join us on the call but had a bunch of background noise that an after contact I had with Tim I hope has given a solution to that for future call ins.

Special thanks to Aladtec EMS Manager for sponsoring this episode of Office Hours. Go check out their free and customizable EMS employee scheduling and management software – click here to begin.

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Check out the articles mentioned during the show:

http://www.nypost.com/p/news/opinion/opedcolumnists/back_from_the_dead_kghyCkyk8MEEGjSSVmwAhM/2

http://www.forbes.com/sites/howardgleckman/2013/03/06/the-cpr-death-at-glenwood-gardens-what-really-happened-and-five-lessons-you-should-learn/

Finally a shout out to Josh for being the ever present co-host and to Steve Whitehead for giving me some inspiration for this topic.

CPR vs. CCR | EMS Questions | WWJD 2/7/2013

Got a question on the differences and the EMS view between CPR and CCR or cardiocerebral resuscitation. So I gave a quick overview on this and showed a screencast of a sample protocol used by EMT’s and paramedics for CCR.


Do you use this method during initial cardiac arrest patients? Something similar? Post your comments below.

For a limited time get a Trial membership to Turbo Medic for just a buck. Try it here for seven full days.

 

EMS Pits Crews | Should A Yellow Flag Be Waved?

You may have heard of the EMS Pit Crew. The popular model is when this is utilized during cardiac arrest calls and each EMS crew member has assigned role. Can this improve outcomes, avoid scene confusion and be the future of cardiac arrest and even patient management in EMS? Or should we be putting up that yellow flag and take a closer look at this model?

Joined by Bob Sullivan and Tim Noonan, we discuss the pros and cons of having these assigned roles. Be sure to comment below and give your take on the EMS Pit Crew.


Show Notes:

Bob Sullivan – EMS Patient Perspective

Tim Noonan – Rogue Medic

Josh Knapp – WANTYNU.com

Thanks also to David Aber from The EMS Difference for helping out in the chat room along with David Blevins.

Read the article mentioned from JEMS here.

 

Managing The Airway In CPR

Quality compression’s make the difference in CPR. Everything else like advanced airways and medications come second with more and more saying that these shouldn’t even come at all. This weeks Minutes I give a few key points to think about when using advanced airway management during CPR.